Inferior vena cava graft-enteric fistula after extended hepatectomy with caval replacement.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 21975062.
- Also identified by DOI 10.1016/j.jvs.2011.05.118.
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Abstract
A case of an inferior vena cava (IVC) graft-enteric fistula manifesting with recurrent sepsis 11 years after a right hepatectomy extending to segments I and IV, the extrahepatic bile duct, and IVC followed by chemotherapy and external-beam radiation therapy is described. A preoperative workup revealed graft thrombosis with air bubbles inside the lumen. Laparotomy found a chronic fistula between the graft and the enteric biliary loop. Removal of the graft without further vascular reconstruction, a take-down of the biliary loop, and a redo hepaticojejunostomy were performed successfully. The diagnostic challenges, possible etiology, and therapeutic implications of this case are discussed.
Medical subject headings
- Blood Vessel Prosthesis Implantation
- Graft Occlusion, Vascular
- Hepatectomy
- Intestinal Fistula
- Thrombosis
- Vascular Fistula
- Vena Cava, Inferior